U-SAVE ELECTRIC SERVICE
*Online Work Order

Billing Company Name
Submitter's Name *
Prefix
First *
Last *
Suffix
Billing Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Primary Phone # *
Secondary Phone #
Alternate Phone #
E-Mail Address *
Type of Service *
 Regular Service 
 Emergency Service 
 Free Estimate (*Does Not Apply to Troubleshooting) 
Describe Service Request *
1st Appointment Choice
2nd Appointment Choice
3rd Appointment Choice
*Please enter up to three different appointment dates and times that you would like to have. Our appointments are scheduled in 2 hour windows for arrival. We will do what we can to meet your request. Example: 8-24-09 btwn 9 AM - 11 AM
Job Location (if different)
Contact Info. (if different)
Rates & Terms Agreement *
 I understand and agree to the rates, terms and payment procedures of U-Save Electric. 
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TERMS, RATES, & PAYMENT PROCEDURES

**REGULAR SERVICE: This rate applies to all customers who schedule an appointment for service at normal business hours not including Holidays under the following conditions. Appointment requests must be submitted at least 12 hours in advance and will be viewed during normal business hours.
The rates for regular service are as follows: $85.00 for the first hour. There is a one hour minimum plus the cost of any materials needed. Each additional hour is $60.00 which will be divided into 30 minute increments.

**EMERGENCY SERVICE: This rate applies to all customers needing service without making an appointment in advance. In such a case, an emergency electrician will be dispatched ASAP upon agreement of the rates and terms.The rates for emergency service are as follows: $150.00 for the first hour. There is a one hour minimum plus the cost of any materials needed. Each additional hour is $100.00 which will be divided into 30 minute increments.

**CONTRACT JOBS: Jobs with predetermined job cost that includes a detailed description of the work to be performed and agreed upon by the customer and the company. No other charges will be applied unless work is requested that is not in the original agreement. All contract jobs and extra work must be in writing via email, fax, or signed work order…no exceptions.

**PAYMENT OF SERVICE: Payment is due on the date of service unless prior arrangements have been made in writing with the company. Acceptable payments are Visa Card, Master Card, American Express, Discover, Personal Check (with 2 acceptable ID's) and Cash or Money Order. *Please note that the technicians are not equipped to make change. There is a $25.00 charge for all returned checks. and a 2% late fee per cycle for all past due invoices. It is agreed that the seller will retain title to any equipment or material furnished until final and complete payment is made, and if settlement is not made as agreed, the seller shall have the right to remove same and the seller will be held harmless for any damages resulting from the removal thereof.

**PROPERTY DAMAGE: U-Save Electric is in no way responsible for repairing any damages made in the ceilings, walls and/or floors in order to make repairs or fish cables through the walls in order to complete the work that was requested. The customer will be informed prior to making such damages. We strive to keep necessary damages to a minimum.

**WARRANTY: U-Save Electric provides a one year limited warranty on the specific labor performed and the specific materials used.